Network hospitals
7500+
Incurred claim ratio
77.33%
Sum insured
Up to 1 CR
No. of Plans
8
Solvency Ratio
2.5
Pan India Presence
300+
Network hospitals
7500+
Incurred claim ratio
77.33%
Sum insured
Up to 1 CR
No. of Plans
8
Solvency Ratio
2.5
Pan India Presence
300+
ICICI Lombard Arogya Sanjeevani is a versatile plan that pays for your medical bills in case of hospitalization. If you are looking for a health plan that secures your basic healthcare needs Arogya Sanjeevani Policy by ICICI Lombard is an efficient fit. You can avail the plan on an individual and family floater basis and take advantage of the following features:
An affordable health care plan offering a cumulative bonus up to a maximum of 50% of SI along with cataract treatments, dental treatments, and plastic surgery if the need arises due to a disease or injury. The plan offers a sum insured benefit ranging between INR 1 lac and 5 Lac. To know more about the Arogya Sanjeevani Policy by ICICI Lombard, read further details.
ICICI Health Insurance | Arogya Sanjeevani Health Insurance Policy.
To purchase the Arogya Sanjeevani Policy by ICICI Lombard individuals must fulfill the following eligibility criteria mentioned in the table below:
Minimum: 18 Years
Children: 3 Months to 25 Years
Maximum: 65 Years
1 L | 2 L | 3 L | 4 L | 5 L
Individual/Family Floater
1 Year
30 Days
ICICI Arogya Sanjeevani Policy benefits offer a multitude of features and benefits allowing insured individuals to enjoy a stress-free life as their medical care needs are fulfilled by the plan. To read the multiple benefits offered read the details mentioned below:
The plan offers a range of sum insured options ranging between INR 1 to 5 Lakhs that you opt for as per your requirements and needs.
Coverage for SI: 1 - 5 L
Room Rent
Covered up to 2% of SI
ICU Charges
Covered up to 5% of SI
Pre-Hospitalization
Covered Up to 30 Days
Post-Hospitalization
Covered Up to 60 Days
Domiciliary Hospitalization
Not Covered
Daycare Treatment
Covered up to 50% of SI
OPD Charges
Not Covered
COVID-19 Treatment
Covered
Cataract
Covered, up to 25% of SI
No Claim Bonus
Applicable, 5% of SI up to a maximum of 50% of SI
Automatic Restoration
Not Covered
Daily Hospital Cash
Not Covered
Organ Donor
Not Covered
Maternity Cover
Not Covered
New Born Baby Cover
Not Covered
AYUSH Treatment
Covered
IVF Treatment
Not Covered
Modern Treatment
Not Covered
Ambulance
Covered
Air Ambulance
Not Covered
Compassionate Travel
Not Covered
Global Coverage
Not Covered
E-Consultation
Not Covered
Health Check-Up
Not Covered
Second Medical Opinion
Not Covered
Vaccination
Not Covered
Co-payment
Applicable, 5% on all claims
Sub-limits
Not Applicable
Room rent limit is the maximum amount of bed charge that you can claim if you are hospitalized.
Common Room categories covered under room rent are:
Coverage status under ICICI Lombard Arogya Sanjeevani Policy?
Under the ICICI Lombard Arogya Sanjeevani Policy, the room rent is covered up to 2% of SI.
It is a special department in the hospitals where patients with serious medical conditions are treated.
Coverage status under ICICI Lombard Arogya Sanjeevani Policy?
Under the ICICI Lombard Arogya Sanjeevani Policy, ICU charges are covered up to 5% of SI up to a maximum of INR 10,000/- per day.
Medical expenses incurred before the hospitalization of the policyholder.
Coverage status under ICICI Lombard Arogya Sanjeevani Policy?
Under the ICICI Lombard Arogya Sanjeevani Policy, pre-hospitalization is covered for up to 30 days.
Medical expenses incurred after the discharge of the policyholder from the hospital.
Coverage status under ICICI Lombard Arogya Sanjeevani Policy?
ICICI Lombard Arogya Sanjeevani Policy covers medical expenses incurred during post-hospitalization for 60 Days.
Home hospitalization arrangement for the insured person due to unavailability of medical amenities in hospitals. The treatment should last equal to or more than 72 hrs to get the financial coverage.
Coverage status under ICICI Lombard Arogya Sanjeevani Policy?
ICICI Lombard Arogya Sanjeevani Policy does not cover domiciliary hospitalizations.
Treatments that can be treated in less than 24 hours of hospitalization like blood dialysis, cataract, etc.
Coverage status under ICICI Lombard Arogya Sanjeevani Policy?
ICICI Lombard Arogya Sanjeevani Policy covers the expenses of all daycare procedures up to 50% of SI.
The cost of doctor consultation and prescribed medical tests that may not require hospitalization.
Coverage status under ICICI Lombard Arogya Sanjeevani Policy?
OPD charges are not covered under the ICICI Lombard Arogya Sanjeevani Policy.
Covers the cost of treatment for COVID-19 with a confirmative diagnosis from Govt. approved Centre.
Coverage status under ICICI Lombard Arogya Sanjeevani Policy?
ICICI Lombard Arogya Sanjeevani Policy covers COVID-19.
A common eye condition in which your vision gets blurred.
Coverage status under ICICI Lombard Arogya Sanjeevani Policy?
ICICI Lombard Arogya Sanjeevani Policy covers Cataract Treatment with a Limit of up to 25% of the sum insured or ₹40,000, whichever is lower.
This plan offers a 50% increment in the sum insured at the time of renewal after a claim-free year. In case of a claim, the bonus amount added to your SI will be decreased by 50%.
Coverage status under ICICI Lombard Arogya Sanjeevani Policy?
ICICI Lombard Arogya Sanjeevani Policy offers a no-claim bonus of 5% of the sum insured for each claim-free year up to a maximum of 50% of SI.
Automatic restoration equal to 100% of your selected SI amount is provided under this plan if the basic sum insured and the multiplier benefit get exhausted.
Coverage status under ICICI Lombard Arogya Sanjeevani Policy?
ICICI Lombard Arogya Sanjeevani Policy does not offer automatic restoration.
It is a cash amount that you will get each day during the time of hospitalization.
Coverage status under ICICI Lombard Arogya Sanjeevani Policy?
The Daily hospital cash is not available under the ICICI Lombard Arogya Sanjeevani Policy.
Your health plan will cover the cost of the procedure for removing the damaged or malfunctioning organs from the body.
Coverage status under ICICI Lombard Arogya Sanjeevani Policy?
Under ICICI Lombard Arogya Sanjeevani Policy the organ donor expenses are not covered.
It refers to the cover that includes expenses for normal and c-section procedures deliveries.
Coverage status under ICICI Lombard Arogya Sanjeevani Policy?
Under the ICICI Lombard Arogya Sanjeevani Policy, Maternity Cover is not available.
It takes care of the medical expenses that arise due to the hospitalization of the newborn baby in case of unforeseen circumstances. Some of the common treatments that are covered under the new borncover and these common treatments can vary from plan to plan:
Coverage status under ICICI Lombard Arogya Sanjeevani Policy?
Under the ICICI Lombard Arogya Sanjeevani Policy, the newborn baby cover is not available.
Refers to the cost of medicines and procedures used under AYUSH (Ayurveda, Yoga & Naturopathy, Unani, Siddha, and Homeopathy) treatment.
Coverage status under ICICI Lombard Arogya Sanjeevani Policy?
Under the ICICI Lombard Arogya Sanjeevani Policy, AYUSH treatment is covered.
In Vitro Fertilization (IVF) is a method of assisted reproductive technology. The common expenses incurred under IVF and infertility treatments are for:
Coverage status under ICICI Lombard Arogya Sanjeevani Policy?
Under the ICICI Lombard Arogya Sanjeevani Policy, IVF is not available.
Medical treatments that demand the use of modern technology such as robotic surgeries, stem cell therapy, etc.
Coverage status under ICICI Lombard Arogya Sanjeevani Policy?
Under the ICICI Lombard Arogya Sanjeevani Policy, modern treatments are not covered.
An ambulance is used to move the patient from home to hospital, transfer to another hospital, and take them for different tests outside the hospitals.
Coverage status under ICICI Lombard Arogya Sanjeevani Policy?
Under the ICICI Lombard Arogya Sanjeevani Policy, ambulance cover is available up to Rs 2,000/- per hospitalization.
Air ambulances are specially prepared planes that transfer the patient from one place to another in case of a health emergency.
Coverage status under ICICI Lombard Arogya Sanjeevani Policy?
Under the ICICI Lombard Arogya Sanjeevani Policy, the air ambulance is not covered.
Refers to the traveling expenses of a family member of the insured person in case the policyholders get admitted to a hospital outside his/her residential city.
Coverage status under ICICI Lombard Arogya Sanjeevani Policy?
Under the ICICI Lombard Arogya Sanjeevani Policy, compassionate travel is not covered.
Any kind of medical/health emergency when you are outside of India.
Coverage status under ICICI Lombard Arogya Sanjeevani Policy?
Under the ICICI Lombard Arogya Sanjeevani Policy, global coverage is not covered.
If a policy offers E-consultation it allows policyholders to connect with a doctor for medical consultation through video chat, audio call, or chatbot.
Coverage status under ICICI Lombard Arogya Sanjeevani Policy?
Under the ICICI Lombard Arogya Sanjeevani Policy, E-consultation is not covered.
A facility where the policyholder can avail of free health check-ups after fulfilling the company's policies.
Coverage status under ICICI Lombard Arogya Sanjeevani Policy?
Under the ICICI Lombard Arogya Sanjeevani Policy, a health check-up is not available.
If the policyholder wants, they may opt for a second medical opinion wherein the policyholder can consult another doctor within the company's network of medical practitioners.
Coverage status under ICICI Lombard Arogya Sanjeevani Policy?
ICICI Lombard Arogya Sanjeevani Policy does not cover the expenses for a second medical opinion.
Coverage against the expenses incurred on vaccinations is provided by the insurance companies.
Coverage status under ICICI Lombard Arogya Sanjeevani Policy?
ICICI Lombard Arogya Sanjeevani Policy does not cover vaccination expenses.
In the co-payment clause, policyholders have to pay a portion of the hospitalization expense on their own and the insurer will pay the rest of the amount.
Status under ICICI Lombard Arogya Sanjeevani Policy?
A voluntary 5 % co-pay is applicable on all claims under the ICICI Lombard Arogya Sanjeevani Policy.
Sub-limits are the specific limits set in an insurance policy for its various features. For example, there are usually sub-limits set on room rent, OPD, doctor’s fees, ambulance charges, family visits, etc. Small amounts of the total sum insured are allotted to different features that the policy comes with and exceeding these amounts leads to out-of-pocket expenses from the policyholder.
Status under ICICI Lombard Arogya Sanjeevani Policy?
Sub-limits are not applicable.
Permanent Diseases or health conditions that are not included under the ICICI Lombard Arogya Sanjeevani Policy are mentioned below:
OPD Expenses.
Expenses arising out of adventure sports.
Expenses arising due to unlawful activities.
Infertility and fertility treatments.
Expenses arising out of war, civil war, nuclear attack, etc.
Certain diseases and treatments are covered under this plan after a certain time period. Read the details below:
Pre-existing Diseases 48 Months
Listed Ailments 24/48 Months
ICICI Lombard Arogya Sanjeevani Policy is a versatile and affordable health insurance plan designed to provide medical care to individuals and families. It is a standard health insurance plan with a limited sum insured availability but covers all the necessary medical requirements. In order to avail basic health coverage, the Arogya Sanjeevani Policy by ICICI Lombard is an apt health insurance plan.
ICICI Lombard Insurance company offers several tailored health plans that are designed to serve you in the best way possible. Take a look:
Saral Suraksha Plan
A plan that offers coverage for accidental death and disablement, temporary total disablement and gives Education Grant.
Unique Features
Top-up
A Top-up plan that offers extra coverage to you and your family with a comparatively lower premium with a policy deductible principle.
Unique Features
Personal Accident
The plan offers personal accident coverage on an individual and family floater basis, with coverage up to 25Lakhs.
Unique Features
Covid specific Plan
A plan mandated by IRDAI that offers covers the hospitalization expenses if the insured is tested positive for Covid-19.
Unique Features
Senior Citizens
A senior citizen plan that covers medical expenses resulting from hospitalisation, health check-ups, day-care procedures and more.
Unique Features
Senior Citizen Plan
A comprehensive plan for you and your family covering
Unique Features
Senior Citizen Plan
A versatile health insurance plan with vital features like outpatient treatment coverage, Maternity Benefits, Newborn Baby Cover, and more.
Unique Features
The Arogya Sanjeevani Plan covers various aspects of medical care such as:
The minimum amount of sum insured available to insured individuals is INR 1,00,000.
Yes, the Arogya Sanjeevani Policy by ICICI Lombard is available as an individual and family floater health insurance plan. You can cover your spouse, parents, parents-in-law, and dependent children under the plan.
The eligibility criteria for adults ranges between the age of 18 to 65 years, whereas for dependent children it is 3 months to 25 years.
Yes, a 5% co-pay for all claims is mandatory under the Arogya Sanjeevani Policy by ICICI Lombard.
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Simran is an insurance expert with more than 3 years of experience in the industry. She may have all the answers to your insurance queries. With a background in Banking, she proactively helps her readers to stay on par with all the latest Insurance industry developments.
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